Sano Atsushi, Yotsumoto Takuma
Department of Thoracic Surgery, Chigasaki Municipal Hospital, Kanagawa, Japan.
Department of Thoracic Surgery, Chigasaki Municipal Hospital, Kanagawa, Japan.
Ann Thorac Surg. 2015 Dec;100(6):e121-2. doi: 10.1016/j.athoracsur.2015.07.085.
An 81-year-old woman with adenocarcinoma in the lower superior segment of the right lung underwent superior segmentectomy of the right lower lobe through a thoracotomy. Preoperatively, we detected an anomalous B10c bronchus branching from the right lower superior segment bronchus with multiplanar reconstruction computed tomography and virtual bronchoscopy. Intraoperatively, we stapled and cut the right lower superior segment bronchus at the level of the peripheral anomalous B10c bronchus under bronchoscopic visualization. Precise anatomic understanding is very important for segmentectomy, especially in patients with anomalous bronchi. Multiplanar reconstruction computed tomography and virtual bronchoscopy are useful for preoperative planning.
一名81岁的女性，患有右肺下叶上段腺癌，通过开胸手术进行了右下叶上段切除术。术前，我们通过多平面重建计算机断层扫描和虚拟支气管镜检查，检测到一条异常的B10c支气管从右下叶上段支气管分支出来。术中，我们在支气管镜直视下，在周围异常B10c支气管水平处，用吻合器切断了右下叶上段支气管。精确的解剖学理解对于肺段切除术非常重要，尤其是对于有支气管异常的患者。多平面重建计算机断层扫描和虚拟支气管镜检查有助于术前规划。
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